The function of the Addiction Therapist is to assist in providing treatment and rehabilitation to psychoactive substance dependent veterans and veterans suffering with behavioral addictions. The target population includes all patients who abuse legal or illegal drugs or alcohol, as well as patients who have behavioral addictions. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Hold a bachelor's degree in a drug and alcohol studies or a related behavioral health field from an accredited college or university. English Language Proficiency. Candidates must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Licensure: (1) Hold a full, current, and unrestricted license in a state, territory, commonwealth, or the District of Columbia to practice in the field of Alcohol and Drug treatment; AND complete one of the following: (b) Complete one of the following: i International Certification and Reciprocity Consortium, Credentialed Alcoholism and Substance Abuse Counselor Certification; or ii National Association for Alcoholism and Drug Abuse Counselors, National Certified Addiction Counselor Level 1. (2) Loss of License or certification. In collaboration with HR Office staff, management officials must immediately relieve employees of the duties and responsibilities associated with the occupation who fail to maintain the required licensure or certification, which may also result in separation from employment. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: Addiction Therapist (Bachelor's Level) GS-05: (1) Experience. The entry level assignment is used for ATs who are licensed with less than one year of experience. There is no experience outside of the basic requirements. (2) Knowledge, Skills and Abilities (KSAs). None(3) Assignment. Employees at this grade level serve in an entry-level developmental position. ATs in the entry-level assignment will receive close clinical supervision and guidance from an LMAT and meet weekly with an assigned clinical supervisor. Duties include, but are not limited to, assisting with intake/assessments, facilitating program orientation or educational sessions and treatment planning. ATs identify patients experiencing psychological distress and engage licensed clinicians as necessary to provide crisis intervention. They maintain appropriate records and chart accurate information. They develop and maintain appropriate communication, rapport and positive working relationship with various institutions, organizations and service providers. Addiction Therapist (Bachelor's Level) GS-07. (1) Experience. In addition to the basic requirements, at least one year of creditable experience equivalent to the next lower grade; OR(2) Education (Advanced Entry Level Placement). Applicants who meet the GS-05 grade level may be appointed at the GS-07 grade level if they possess a bachelor's degree from an accredited college or university in a major field of study in a drug and alcohol studies or a related behavioral health field with an exemplary academic record as demonstrated by:(a) 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on their official transcript, or as computed based on four years of education or as computed based on courses completed during the final two years of the curriculum; OR (b) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final two years of the curriculum; OR (c) Class Standing: Applicants must be in the upper third of the graduating class in the college, university or major subdivision based on completed courses. (3) Knowledge, Skills and Abilities (KSAs). In addition to the experience/education requirements, the candidate must demonstrate the following KSAs.(a) Knowledge of principles, concepts and methods of counseling and therapies used in treatment of individuals with SUDs.(b) Knowledge of appropriate documentation of substance use history and treatment.(c) Ability to identify patients who are in psychological distress. (4) Assignment. ATs in this level assignment will receive clinical supervision and guidance from designated LMAT. ATs assist with addiction screening, assessments, orientation, education, treatment planning and counseling. They identify patients experiencing psychological distress and engage licensed clinicians as necessary to provide crisis intervention. ATs assist in developing an evaluation/summary of the client's substance use and any co-occurring conditions based on the results of assessments to provide an integrated approach to treatment planning based on the client's strengths, preferences and identified problems and needs. ATs participate with a multidisciplinary team regarding treatment planning. They communicate with a variety of institutions, organizations and service providers. Addiction Therapist (Bachelor's Level) GS-09. (1) Experience. One year of creditable experience equivalent to the next lower grade. (2) Knowledge, Skills and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs:(a) Knowledge of coexisting medical or other mental health disorders as interrelated to SUDs.(b) Ability to complete assessments of substance use disorders, treatment planning and continued care planning.(c) Ability to develop and maintain effective working or therapeutic relationships with multidisciplinary staff, Veterans and their families, from various backgrounds and community resources to ensure appropriate referrals. (3) Assignment. This is the full performance-level assignment for ATs. Although the ATs are dependent providers and perform work under guidance of LMATs, ATs at this level perform intake/assessments using a biopsychosocial history which could include urine toxicology/breathalyzer data and/or collateral information. They provide case management and counseling on issues that involve substance use. ATs conduct and utilize designated measurement tools for baseline and follow-up care. They assist with the utilization of the assessment and in collaboration with the patient, create an individualized treatment plan and continuing care plans. ATs provide addiction-related psychoeducation for individuals/groups/couples and evidence-based psychosocial interventions. They provide crisis intervention to patients in psychological distress consistent with VA national policy and within the scope of practice to include engaging licensed mental health clinicians when clinically indicated. ATs are part of the treatment team that includes licensed independent practitioners that formulate plans during the continuum of care and, at discharge, and arrange referrals to agencies and organizations as needed. Preferred Experience: Licensed and certified in addiction specialty care Experience functioning as part of a multi-disciplinary team Experience in the provision of evidence based assessment and psychological interventions for addiction Experience employing measurement based care in a clinical setting References: VA Handbook 5005/155 Part II Appendix G76-B Addiction Therapist Qualification Standard Dated November 30, 2022 The full performance level of this vacancy is GS-9. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-9. Physical Requirements: Work is sedentary in nature and manual dexterity is required for operation of a computer. The work occasionally requires walking, standing, bending, lifting or carrying of light items such as paper, books, and charts. ["Major Duties: Provides addiction counseling services in the SUD program as a member of the multi-disciplinary treatment team; Conducts initial screening interviews with new patients seeking treatment in the SUD program. In order to comply with Joint Commission Behavioral Health standards of care, all veterans referred to the Addiction Therapist will be assessed utilizing the American Society of Addiction Medicine (ASAM) Multidimensional Assessment tool that is used to place a patient into an appropriate level of care across the ASAM continuum; Perform assessments: gathering information about Veteran patients who present with addiction concerns and engaging with them to determine the severity of addiction, readiness for change, existence of co-occurring mental health disorders, problem areas that may affect treatment, and other needs and opportunities; Develop individualized treatment plans that address each substance use disorder and that are continually modified depending on the patient's response to treatment. This treatment plan is multidisciplinary, implemented in conjunction with other members of the patient's health care team. Treatment plans must match the individual needs, readiness and goals of the patient; Conducts individual, family, and group therapy that is evidence-based with the goal of improving patient's ability to identify and change negative thoughts, feelings, and behaviors. substance abuse treatment. Therapy must be goal-directed and incorporate strategies for coping with relapse triggers and other stressors; Work with patients to avoid relapse and maintain recovery by assisting patients to determine risks for relapse and to develop prevention plans; Refer patients to other support resources that are vital to their recovery. This can include referrals to other SUD team members, medication management, psychotherapy for co-occurring mental health disorders, inpatient care, intensive outpatient programming, residential treatment, and mutual help groups; Timely documentation in the medical record of all patient encounters, therapeutic interventions, and treatment plans is required in order to communicate progress to other members of the treatment team, to track progress in treatment, and to evaluate and refine treatment plans on an ongoing basis; Observes patient behaviors possibly indicating difficulty adapting or responding to treatment (e.g. missed assessment appointments, failure to attend or maintain abstinence, risk to self or to others, disruptive behavior, etc.) and completes appropriate documentation and reports concerns to the SUD supervisor or treatment team in a timely manner; The incumbent may be assigned other duties including, but not limited to, serving on special committees, special projects, action teams, etc. Work Schedule: 8:00am-4:30pm, Monday-Friday Compressed/Flexible: May be available to highly qualified candidates Telework: May be available to highly qualified candidates Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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